Pat Buckley (Cork East, Sinn Fein)
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I thank Professor Keane for his submission. He hit a couple of key points relating to leadership, accountability, trust, funding and implementation. Why is the implementation of reform so difficult? Professor Keane's programme seems to be going in the right direction and it is working. He stressed leadership and accountability at the start and they seem to come up in many debates that we have. If this is working in Professor Keane's programme, could it be replicated across the entire health service? One of the major points that comes up constantly is where the buck stops, who is accountable and who is taking leadership and ownership of the system.